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Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system
BACKGROUND: Mass incarceration has had an undeniable toll on childhood poverty and inequality, however, little is known about the consequences on pediatric health. The purpose of this study was to identify and describe the health of pediatric patients with probable personal or family history involve...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327457/ https://www.ncbi.nlm.nih.gov/pubmed/34337696 http://dx.doi.org/10.1186/s40352-021-00147-5 |
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author | Boch, Samantha Sezgin, Emre Ruch, Donna Kelleher, Kelly Chisolm, Deena Lin, Simon |
author_facet | Boch, Samantha Sezgin, Emre Ruch, Donna Kelleher, Kelly Chisolm, Deena Lin, Simon |
author_sort | Boch, Samantha |
collection | PubMed |
description | BACKGROUND: Mass incarceration has had an undeniable toll on childhood poverty and inequality, however, little is known about the consequences on pediatric health. The purpose of this study was to identify and describe the health of pediatric patients with probable personal or family history involvement with the correctional system. METHODS: A descriptive study was conducted using electronic health record data of 2.3 million youth (ages 0–21 years) who received care in a large Midwestern hospital-based institution from February 2006–2020. We employed a correctional-related keyword search (e.g. jail, prison, probation, parole) to locate youth with probable personal or family history involvement. Health characteristics were measured as clinician diagnostic codes. RESULTS: Two percent of the total pediatric population had a correctional keyword in the medical chart (N = 51,855). This 2% made up 66% of all patients with cannabis-related diagnoses, 52% of all patients with trauma-related diagnoses, 48% of all stress-related diagnoses, 38% of all patients with psychotic disorder diagnoses, and 33% of all suicidal-related disorders within this institution’s electronic health record database – among other highly concerning findings. CONCLUSIONS: We captured an alarming health profile that warrants further investigation and validation methods to better address the gaps in our clinical understanding of youth with personal or family history involvement with the correctional system. We can do better in identifying, and supporting families affected by the correctional system. |
format | Online Article Text |
id | pubmed-8327457 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-83274572021-08-03 Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system Boch, Samantha Sezgin, Emre Ruch, Donna Kelleher, Kelly Chisolm, Deena Lin, Simon Health Justice Short Report BACKGROUND: Mass incarceration has had an undeniable toll on childhood poverty and inequality, however, little is known about the consequences on pediatric health. The purpose of this study was to identify and describe the health of pediatric patients with probable personal or family history involvement with the correctional system. METHODS: A descriptive study was conducted using electronic health record data of 2.3 million youth (ages 0–21 years) who received care in a large Midwestern hospital-based institution from February 2006–2020. We employed a correctional-related keyword search (e.g. jail, prison, probation, parole) to locate youth with probable personal or family history involvement. Health characteristics were measured as clinician diagnostic codes. RESULTS: Two percent of the total pediatric population had a correctional keyword in the medical chart (N = 51,855). This 2% made up 66% of all patients with cannabis-related diagnoses, 52% of all patients with trauma-related diagnoses, 48% of all stress-related diagnoses, 38% of all patients with psychotic disorder diagnoses, and 33% of all suicidal-related disorders within this institution’s electronic health record database – among other highly concerning findings. CONCLUSIONS: We captured an alarming health profile that warrants further investigation and validation methods to better address the gaps in our clinical understanding of youth with personal or family history involvement with the correctional system. We can do better in identifying, and supporting families affected by the correctional system. Springer Berlin Heidelberg 2021-08-01 /pmc/articles/PMC8327457/ /pubmed/34337696 http://dx.doi.org/10.1186/s40352-021-00147-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Short Report Boch, Samantha Sezgin, Emre Ruch, Donna Kelleher, Kelly Chisolm, Deena Lin, Simon Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
title | Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
title_full | Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
title_fullStr | Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
title_full_unstemmed | Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
title_short | Unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
title_sort | unjust: the health records of youth with personal/family justice involvement in a large pediatric health system |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327457/ https://www.ncbi.nlm.nih.gov/pubmed/34337696 http://dx.doi.org/10.1186/s40352-021-00147-5 |
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